Impact of Hepatitis C Virus on the Circulating Levels of IL-7 in HIV-1 Coinfected Women

Jerome Kerzerho, Elizabeth J. McIlvaine, Patricia Anthony, Wendy J. Mack, Chia Hao Wang, Toni Frederick, Eva Operskalski, Zhi Chen, Lena Al-Harthi, Alan Landay, Mary A. Young, Phyllis C. Tien, Michael Augenbraun, Howard D. Strickler, Omid Akbari, Elizabeth T. Golub, Gerald B. Sharp, Andrea Kovacs

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objectives: Hepatitis C virus (HCV) infection causes an alteration in T-cell maturation and activation in patients coinfected with human immunodeficiency virus (HIV). Because interleukin 7 (IL-7) is a major cytokine controlling T-cell homeostasis, we analyzed the potential influence of HCV coinfection on circulating IL-7 levels in HIV-infected women before and after highly active antiretroviral therapy (HAART). Design and Methods: This prospective study included 56 HIV monoinfected, 55 HIV/HCV coinfected without HCV viremia, 132 HIV/HCV coinfected with HCV viremia, and 61 HIV/HCV-uninfected women for whom plasma levels of IL-7 were determined by enzyme-linked immunosorbent assay at 1 or more follow-up visits before and after HAART. Cross-sectional analyses of the associations between plasma IL-7 levels and HCV infection, demographic, clinical, and immunologic characteristics were evaluated using univariate and multivariate linear regression models before and after HAART. Results: In multivariate models, IL-7 levels were significantly higher in coinfected HCV viremic women than in HIV monoinfected women (multiplicative effect 1.48; 95% confidence interval: 1.01 to 2.16; P 0.04) before HAART, but were similar between these two groups among women after HAART. In addition to HCV viremia, higher IL-7 levels were associated with older age (P 0.02), lower CD4 + T-cell count (P 0.0007), and higher natural killer T-cell count (P 0.02) in women before HAART. Among HAART-treated women, only lower CD4 + T-cell count was significantly associated with IL-7 level (P 0.006). Conclusions: Our data demonstrate that in HIV-infected women, circulating levels of IL-7 are strongly associated with CD4 + T-cell depletion both before and after HAART. Our data also demonstrate that HCV viremia increases circulating IL-7 levels before HAART but not after HAART in coinfected women. This suggests that the effect of HCV on lymphopenia is abrogated by HAART.

Original languageEnglish (US)
Pages (from-to)172-180
Number of pages9
JournalJournal of Acquired Immune Deficiency Syndromes
Volume71
Issue number2
DOIs
StatePublished - Feb 1 2016

Keywords

  • HAART
  • HIV and HCV coinfection
  • IL-7 level

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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    Kerzerho, J., McIlvaine, E. J., Anthony, P., Mack, W. J., Wang, C. H., Frederick, T., Operskalski, E., Chen, Z., Al-Harthi, L., Landay, A., Young, M. A., Tien, P. C., Augenbraun, M., Strickler, H. D., Akbari, O., Golub, E. T., Sharp, G. B., & Kovacs, A. (2016). Impact of Hepatitis C Virus on the Circulating Levels of IL-7 in HIV-1 Coinfected Women. Journal of Acquired Immune Deficiency Syndromes, 71(2), 172-180. https://doi.org/10.1097/QAI.0000000000000832